SHOULD KNOW - Anova Health Institute

For further info on
men’s sexual health,
or to post a question
to an expert, visit
h4m.mobi
on your cellphone or
computer.
www.health4men.co.za
02 MEN
SHOULD KNOW
HIV: PREVENTION
WHAT

HIV :
PREVENTION
WHAT MEN SHOULD
KNOW
HEALTH
4
MEN
VISIT
H4M.MOBI
IF yOU HAVE ANy qUESTION
ABOUT yOUr SEXUAL HEALTH

CHANgINg yOUr
BEHAVIOUr TO
rEDUCE rISK
Anal sex without a condom is very risky behaviour for becoming infected with
HIV or giving it to somebody else. The risk of HIV transmission through
anal sex is about 18 times higher than for vaginal sex.
HERE ARE A fEW THINgS yOU cAN DO TO LOWER yOUR RISK:
1. Use a condom and water-based lubricant (lube) every time you have
anal sex. If you are the bottom (receptive) partner, always insist that
the top (penetrating) partner wears a condom and water-based
lubricant.
2. Have sex with fewer men. Having sex with fewer men will lower your
chances of getting or spreading HIV and other sexually transmitted
infections (STIs).
3. Stop having sex if you (or your partner) have any symptoms of an
STI, such as a sore, blister, rash or a wart on or around your penis or
anus, or if there is a discharge (leaking) from your penis or anus. Go
to your clinic or doctor and get treatment before you have sex again.
The risk of getting infected with HIV is much higher for the bottom
(receptive) partner than the top (penetrating) partner. This is because
the bottom guy is more likely to get semen (cum) inside his anus, which
is the easiest way to get HIV.
If you are HIV-positive you must limit the risk of infecting a negative
partner. In addition to using condoms and water-based lube, some
guys living with HIV also use sero-sorting and sero-positioning.
FOR DETAILS ON SERO-SORTING AND SERO-POSITIONING, VISIT
H4M.MOBI ON YOUR CELL PHONE
CONDOMS
Love them or hate them, consistent use of condoms remains your best
defence against HIV and other STIs. Condoms are effective because they
prevent the exchange of sexual body fluids that might contain HIV: semen
(cum) and blood. Even guys who are HIV-positive should use condoms every
time they have sex to help prevent getting or spreading HIV and other STIs.
Condoms & water-based lubricant belong together, just like fish & chips!
USINg A MALE CONDOM
For detailed instructions on how to use a male condom, visit h4m.mobi on
your cell phone. Remember the following;
• Guys who are bottom (anally penetrated) sometimes say the sex feels
better without a condom. This is not true – the inside of the anus cannot
feel a condom.
• Never use more than one condom at the same time.
• If you are having group sex (with more than one partner at the same time),
use a fresh condom every time you penetrate a new partner to avoid
spreading HIV and other STIs.
USINg A FEMALE CONDOM FOr ANAL SEX
Visit the h4m.mobi site to find out why using a female condom for anal sex
feels so much better for many men. This is how to use a female condom for
anal sex:
1. Check the use-by date and make sure the wrapping isn’t damaged, and
remove the condom. Apply lots of lubricant to the bottom’s anus and to
the top’s penis. The top pulls the female condom onto his erect (hard)
penis, as if he’s pulling a sock onto his foot.
2. The top inserts the female condom into the bottom’s anus with his
penis. The fixed large plastic ring will remain outside the bottom’s anus,
preventing it from slipping inside.
3. After sex, the bottom must twist the condom (to avoid spilling the cum),
pull the condom out, make a knot in it and throw it in the bin.
1 2
XHOSA TSWANA
AfRIKAANS
ENgLISH

LUBrICATION
Lubricant, or lube, is a slippery jelly-like product that is designed for use
during sex. Using the right lube makes anal sex safer by preventing condoms
breaking. It also makes anal sex much more comfortable, enjoyable and fun.
Lube is vital for anal sex, since the anus does not produce enough fluid for
comfortable sex (unlike a vagina). Dry sex can damage the soft lining of the
anus, increasing the risk of getting HIV or other sexually transmitted infections
(STIs).
With male condoms you must only use water-based lube such as KY,
Assegai or Health4Men’s lube sachets. Never use any product that contains
oil, such as baby oil, body or hand lotions, butter or margarine, Vaseline or
cooking oil. Oil in any product damages a male condom, leading to the spread
of HIV or other STIs.
Always put plenty of lube on the opening of the anus before you start having
sex. If the sex starts to feel dry or sticky, or carries on for a long time, use more
lube to protect the condom.
You can buy water-based lube at any sex shop or chemist, or you can use
low-fat yoghurt or raw egg white (not the yellow part). If you have a fridge
you can make your own jelly: buy a packet of fruit flavoured jelly and mix it
with only a third of the water they tell you to use. It will be ready when it has
gone hard in the fridge. Saliva (spit) is not slippery enough to be used as lube.
POST-EXPOSUrE
PrOPHyLAXIS (PEP)
Post-exposure prophylaxis (PEP) is an emergency prevention measure for
people who are HIV negative and who have been exposed to the virus,
putting them at a high risk of becoming HIV positive. If the medication is
started within a maximum of 72 hours after exposure to the virus, it helps
reduce the chances of HIV infection. Examples of high risk exposure include a
condom breaking during sex and the bottom getting semen (cum) in his anus
from a top who is (or might be) HIV positive. PEP must be taken correctly for
28 days and must be followed up with repeated HIV screenings.
Speak to your healthcare worker immediately if you think you need PEP.
PrE-EXPOSUrE
PrOPHyLAXIS (PrEP)
While PEP is given to HIV negative people after they have been exposed
to the virus, pre-exposure prophylaxis (PrEP) is given to HIV negative people
before they are exposed to the virus in order to reduce their risk of becoming
HIV positive.
PrEP is not currently available from public clinics. For more information on this
please visit h4m.mobi on your cell phone.
3 4
XHOSA TSWANA
AfRIKAANS
ENgLISH

VErANDEr JOU
gEDrAg OM DIE
rISIKO TE VErMINDEr
Anale seks sonder ‘n kondoom is baie riskante gedrag vir infeksie met HIV,
hetsy om dit te kry of oor te dra na ‘n ander persoon. Die risiko van HIVoordrag
deur anale seks is ongeveer 18 maal meer as deur vaginale
seks.
HIER IS ‘N PAAR DINgE WAT Jy KAN DOEN OM DIE RISIKO TE VERMINDER:
1. Gebruik ‘n kondoom en water-gebaseerde smeermiddel elke keer
as jy anale seks het. Die passiewe persoon (“bottom”) moet jy altyd
daarop aandring dat die aktiewe persoon (“top”) ‘n kondoom en
“lube” gebruik.
2. Verminder jou aantal seksmaats. Om seks te hê met ‘n kleiner aantal
mans sal jou kans van infeksie of verspreiding van HIV, en ander
seksueel-oordraagbare infeksies (“STIs”), beslis verminder.
3. Staak alle seks as jy (of jou seksmaat) enige simptome van ‘n
seksueel-oordraagbare infeksie toon: sere, blase, uitslag of ‘n vrat
op of rondom jou penis of anus, ‘n afskeiding uit jou penis of anus.
Besoek jou kliniek of dokter vir behandeling voordat jy weer seks
het.
Die risiko om HIV-infeksie op te doen is veel groter as jy die passiewe
persoon (“bottom”) is in teenstelling met die aktiewe persoon (“top”).
Die rede is dat die kanse groter is dat semen in die “bottom” se anus
gaan beland, wat die die maklikste manier van HIV-oordag is.
Indien jy HIV-positief is, moet jy die risiko om ‘n ander persoon te
infekteer beperk. Buiten die gebruik van kondome en “lube”, is daar
sekere HIV-positiewe ouens wat sero-sortering en sero-posisionering
aanwend.
BESOEK H4M.MOBI OP JOU SELFOON OF REKENAAR VIR
BESONDERHEDE OOR SERO-SORTERING EN SERO-POSISIONERING
KONDOME
Hetsy jy hulle haat of mal is oor kondome, bly die volhoudende gebruik
daarvan jou beste verdediging teen HIV en ander seksueel-oordraagbare
siektes. Kondome is effektief, omdat hulle die uitruil van seksuele liggaamsvloeistowwe
wat HIV mag bevat (semen en bloed), voorkom. Selfs ouens wat
HIV-positief is, moet steeds kondome gebruik elke keer as hulle seks het
om die oordrag van HIV en ander “STIs” te beperk. Soos “fish and chips” is
kondome en “water-based lube” (smeermiddel) onafskeidbaar.
gEBrUIK VAN ‘N KONDOOM
Besoek die h4m.mobi werf op jou selfoon of rekenaar vir besonderhede hoe
om ‘n manlike kondoom te gebruik. Onthou die volgende:
• Ouens wat anaal gepenetreer word (“bottoms”) sê soms dat seks beter
voel sonder ‘n kondoom. Dit is nie waar nie – die binnekant van die anus
kan nie ‘n kondoom voel nie.
• Moet nooit meer as een kondoom gelyktydig gebruik nie.
• As jy groepseks het (met meer as een seksmaat met ‘n keer), gebruik
‘n nuwe kondoom elke keer as jy ‘n ander persoon penetreer om die
verspreiding van HIV en “STIs” te voorkom.
gEBrUIK VAN ‘N VrOUE-KONDOOM VIr ANALE SEKS
Om meer uit te vind waarom die gebruik van vroue-kondome (“Femidoms”)
soveel beter voel vir anale seks, besoek ons webtuiste by h4m.mobi. Hier volg
die riglyne hoe om ‘n vroue-kondoom te gebruik vir anale seks:
1. Voor jy die kondoom verwyder, maak seker van die vervaldatum en
of die verpakking nie geskeur is nie. Wend genoegsame smeermiddel
(“lubricant”) aan die passiewe persoon (“bottom”) se anus sowel as die
aktiewe persoon (“top”) se penis. Die “top” trek dan die kondoom oor sy
erekte (stywe) penis soos om ‘n sokkie aan te trek.
2. Die “top” druk dan die vroue-kondoom met sy penis in die “bottom” se
anus. Die groot gefikseerde plastiese ring sal buite die “bottom” se anus
bly en so verhoed dat die kondoom inglip.
3. Na seks moet die “bottom” die kondoom draai (om uitloop van semen te
verhoed), dit uittrek en weggooi.
5 6
ENgLISH
XHOSA TSWANA
AfRIKAANS

SMEErMIDDEL
Smeermiddel (“lubricant” of “lube”) is ‘n glibberige, jellie-agtige produk wat
ontwerp is vir gebruik tydens seks. Anale seks word veiliger gemaak deur die
regte smeermiddel te gebruik aagesien dit verhoed dat kondome skeur. Dit
maak anale seks ook meer gemaklik, genotvol en pret.
Smeermiddel is noodsaaklik vir anale seks omdat die anus nie genoeg vloeistof
produseer vir gemaklike seks nie (in teenstelling met die vagina). Droë seks
kan die sagte slymvlies van die anus beseer wat die risiko van HIV en ander
seksueel- oordraagbare infeksies, verhoog.
Tydens die gebruik van die gewone lateks kondoom moet slegs watergebaseerde
smeermiddel gebruik word, soos KY, Assegai of Health4Men
sakkies (“sachets”). Enige produkte wat olie bevat, soos baba-olie, lyf- en
handerome, botter of margarien, petroleum-jellie (Vaseline) of kookolie moet
nooit gebruik word nie. Verspreiding van HIV en ander seksueel- oordraagbare
infeksies word verhoog omdat die olie die kondoom beskadig.
Gebruik altyd genoegsame smeermiddel rondom die anus-opening voor seks.
As die seks begin droog of taaierig voel, of dit hou aan vir ‘n lang tyd, gebruik
ekstra smeermiddel om die kondoom te beskerm.
Jy kan water-gebaseerde smeermiddel koop by enige sekswinkel of apteek. Jy
kan ook lae-vet jogurt of rou eierwit (nie die geel nie) gebruik. As jy ‘n yskas
het, maak dan jou eie jellie: koop ‘n pakkie vrugtegeur jellie en meng met net
‘n derde van die water wat in die instruksies aangegee word. Dit is gereed vir
gebruik sodra dit in die yskas gestol het. Speeksel is nie glad genoeg om as
smeermiddel gebruik te word nie.
NA-BLOOTSTELLINg
VOOrBEHOEDINg
“PEP” is ‘n noodmaatreël vir mense wat HIV-negatief is en wat blootgestel
was aan die virus met ‘n hoë-risiko moontlikheid van HIV-oordrag. Indien
die medikasie binne 72 uur na blootstelling begin word, verminder dit die
kanse vir HIV infeksie. Voorbeelde van hoë-risiko blootstelling sluit o.a. in:
‘n kondoom wat skeur tydens anale seks en die semen van ‘n HIV-positiewe
(of moontlik positiewe) “top” in die anus/ rektum van die “bottom” beland.
“PEP” moet vir 28 dae streng en korrek geneem word en dan opgevolg word
deur herhaalde HIV-siftings.
Praat gerus onmiddelik met jou dokter of kliniek as jy dink dat jy “PEP” nodig
het.
VOOr-BLOOTSTELLINg
VOOrBEHOEDINg
In teenstelling met “PEP” wat gegee word aan HIV-negatiewe persone wat
blootgestel was aan moontlike HIV-infeksie, word “PrEP” gegee aan HIVnegatiewe
persone voordat hulle blootgestel word aan moontlike HIV-infeksie
om die risiko van oordrag te verminder.
“PrEP” is tans nie beskikbaar by staatsklinieke nie. Vir meer inligting, besoek
gerus h4m.mobi op jou selfoon of rekenaar.
7 8
ENgLISH
XHOSA TSWANA
AfRIKAANS

gO FETOLA BOITSHWArO
JWA gAgO gO
FOKOTSA KOTSI
Matanyola kwa ntle ga mosomelwana a kotsi ka ntata ya gore a ka go fetetsa
HIV kgotsa a tlhola gore o e fetetse mongwe. Kotsi ya kgonagalo ya go
fetelwa ke HIV ka matanyola e feta ya thobalano ya mapele ka palo
ya 18.
DILO DINgWE TSE O KA DI DIRANg gO fOKOTSA KgONAgALO yA gO fETELWA KE TSE:
1. Dirisa mosomelwana le selogetsi sa metsi nako nngwe le nngwe
fa o tsenela thobalano ya matanyolo. Fa o le ka fa tlase, ka gale
gapeletsa gore molekane yo o ka fa godimo (mosomedi) a rwale
mosomelwana mme a dirise selogetsi sa metsi.
2. Se robalane le banna ba le bantsi. Go robalana le palo e e kwa tlase
ya banna go tla fokotsa kgonagalo ya go fetelwa kana go fetetsa
HIV mmogo le malwetse a mangwe a a fetelang ka thobalano (diSTI)
3. Emisa thobalano fa e le gore wena kgotsa molekane wa gago o
na le dikai tsa STI, jaaka seso, tlhagala/sekaku kgotsa boswata mo
karolong ya mapele kana marago, kgotsa a na le go tswenatswena
(go dutla) mo mapeleng kgotsa maragong/phinyeng. Eya kwa
tleliniking kgotsa ngakeng mme o bone melemo pele ga o robalana
gape.
Kotsi ya go fetelwa ke HIV e kgolo go molekane yo o ka fa tlase
(moamogedi) go gaisa yo o ka fa godimo (yo o somelang). Se se
tlholwa ke gore yo o ka fa tlase o ya go amogela peo (disepeme) ka
phinya, mme se ke tsela e e bonolo ya go fetetsa HIV.
Fa o na le mogare wa HIV o tshwanetse go fokotsa kotsi ya go fetetsa
molekane yo o se nang yona. Go tlaleletsa tiriso ya mosomelwana le
selogetsi sa metsi, banna ba bangwe ba ba nang le HIV ba dirisa le se
se bidiwang “sero-sorting” le “sero-positioning”.
GO BONA DINTLHA KA GA “SERO-SORTING LE “SERO-POSITIONING”,
ETELA H4M.MOBI MO SELULENG YA GAGO.
MESOMELWANA
(DIKHONDOMO)
O e rata kgotsa o e tlhoile, go tswelela go dirisa mesomelwana ke sebetsa se
segolo kgatlhanong le HIV mmogo le malwetse a mangwe a thobalano (diSTI).
Mesomelwana mosola ka ggore e thibela kananyo ya diela tsa mmele tse di
ka bong di tshotse HIV : people madi. Banna ba ba nang le HIV le bona ba
tshwanetse go dirisa mesomelwana nako nngwe le nngwe fa ba robalana go
thusa thibelo ya go tsenwa ke, kana go gasa HIV le diSTI tse dingwe. Mesomelwana
le dilogetsi tsa metsi ke mathe le loleme, fela jaaka “fish & chips!”
TIrISO yA MOSOMELWANA WA BOrrE
Go bona dintlhakaelo ka botlalo ka ga tiriso ya mosomelwana wa borre,
etela h4m.mobi mo seluleng ya gago. Gakologelwa tse di latelang;
• Banna ba ba ka fa tlase (ba ba jewang matanyola) ba na le gore matanyola
a monate kwa ntle ga tiriso ya mosomelwana. Se ga se nnete – bokafagare
jwa phinya ga bo kgone go utlwa mosomelwana.
• O se tsoge o dirisitse mesomelwana e fetang bongwe ka nako.
• Fa e le gore lo jana matanyola ka setlhopha (le balekane ba fetang bongwe
ka nako), dirisa mosomelwana o mošwa nako nngwe le nngwe fa o
pagama molekane yo mongwe, go thibela kanamiso ya HIV le diSTI tse
dingwe.
TIrISO yA MOSOMELWANA WA BOMME MO MATANyOLENg
Etela saete ya h4m.mobi go itse gore goreng tiriso ya mosomelwana wa
bomme e le botoka go bontsi jwa borre. Se ke tiriso ya mosomelwana wa
bomme mo matanyoleng :
1. Tlhola letlha la tiriso mme o netefatse gore sephuthelo ga se a gagoga,
mme o ntshe mosomelwana. Tshasa phinya ya moamogedi mmogo le
ntlhana ya mapele a mosomedi ka selogetsi se sentsi. Mosomedi a somele
mosomelwana wa bomme mo mapeleng a gagwe a a kwatlaletseng, fela
jaaka e kete o rwala kousu mo lonaong
2. Mosomedi o somela mosomelwana wa bomme mo phinyeng ya
moamogedi, mmogo le mapele a gagwe. Polasetiki e kgolo e e
kgomaretseng e sala ka fa ntle ga phinya ya moamogedi, go tila gore e
thelelele ka fa gare.
3. Morago ga thobalano, moamogedi o tshwanetse go soka mosomelwana
(gore o se ka wa tsholola peo/disepeme), o somola mosomelwana, o o
bofa lehuto mme o o latlhela mo motemeng wa matlakala.
9 10
AfRIKAANS ENgLISH
XHOSA TSWANA

TOgETSO
Selogetsi ke seedi se se boreledi jwa jeli se se dirisetswang thobalano. Tiriso
ya seedi se se maleba e thusa pabalesego ya thobalano ya matanyola ka go
thibela go phatloga ga mosomelwana. Seedi se, se dira le gore matanyola a
isege, a ne monate le go itumedisa.
Selogetsi se botlhokwa mo matanyoleng ka gobo phinya ga e ntshe seedi se
se lekanetseng thobalano (phinya e gaisiwa ke mapele a sesadi). Thobalano
e e se nang seedi e ka gobatsa furumo e e lotsatsa ya phinya, mme se se ka
godisa kotsi ya go fetelwa ke HIV kgotsa malwetse a mangwe a diSTI.
Malebana le mosomelwana wa borre, o tshwanetse wa dirisa fela selogetsi
sa metsi se tshwana le KY, Assegai kgotsa “Health4Men’s lube sachets”.
Se tsoge o dirisitse sedirisiwa se se nang le oli, go tshwana le “baby oil”,
ditlolo tsa mmele kgotsa tsa diatla, botoro kgotsa majerine, le fa e le Vaseline
kgotsa mafura a a apayang. Mofuta mongwe fela wa mafura o ya go gobatsa
mosomelwana wa borre, mme se se ya go feleletsa mo phetelelong ya HIV
kgotsa diSTI tse dingwe. Ka gale tshasa selogetsi se le sentsi mo molomong
wa phinya pele o simolola thobalano. Fa o utlwa e kete thobalano e a
ngangega, kgotsa e tsaya lobaka, oketsa selogetsi go thusa mosomelwana.
O ka reka selogetsi mo mabenkeleng mangwe fela a tsa thobalano kgotsa
mo dikhemiseng, kgotsa o ka dirisa yokate e e fokoditsweng mafura kgotsa
bosweu jwa lee jo bo sa apewang (e seng boserolwana). Fa o na le setsidifatsi,
o ka itirela jeli ya gago: reka pakete ya jeli ya maungo mme o e tswake le
peditharong ya metsi a ba go reileng ba re o a dirise. E tla bo e siame fa e
gwamile mo setsidifatsing. Mathe ga a a lekanela go dirisiwa jaaka selogetsi.
MOrAgO gA gO
BONALAgO
PrOPHyLAXIS (PEP)
Morago ga “prophylaxis” (PEP), ke thibelo ya tshoganyetso ya batho ba ba
se nang HIV mme ba nnile le kamano le mogare o, mme se se ba beile mo
maemong a kotsi ya go ka fetelwa ke HIV. Fa kalafi e, e ka simololwa mo
nakong ya diura di le 72 morago ga go amana le mogare, kalafi e, e thusa go
kgonego ya go fetelwa ke HIV. Dikao tsa maemogodimo a kotsi e di akaretsa
go phatloga ga mosomelwana ka nako ya thobalano mmogo le moamogedi
yo o amogelang peo go tswa go mosomedi yo o nang le HIV. Fa kalaki e
ka bonwa le go simololwa mo diureng di le 72, PEP e tshwanetse go nowa
ka tolamo matsatsi a le 28 mme e salwe morago ke go tlholwa le go salwa
morago malebana le HIV. Bua le modiredipholo wa gago ka pele fa o akanya
gore o tlhoka PEP.
PELE gA gOBONALAgO
PrOPHyLAXIS (PrEP)
Fa PEP e fiwa batho ba ba se nang HIV morago ga gore ba amane le mogare.
PrEP yona e fiwa batho ba ba se nang mogare pele ba amana le mogare go
fokotsa kotsi ya go fetelwa ke mogare o. Gajaana PrEP ga e fitlhelwe mo
ditleliniking tsa puso. Go bona tshedimosetso malebana le se, tsweetswee
etela h4m.mobi mo seluleng ya gago.
11 12
AfRIKAANS ENgLISH
XHOSA TSWANA

UKUTHINTSHA INDLELA
OZIPHATHA NgAyO
KUNCIPHISA UBUNgOZI
Isondo lasezimpundu ngaphandle kwekhondom ungumngcipheko
ophezulu ekufumaneni i-HIV okanye ukuyinikezela omnye umntu. Ubungozi
bokugqithisela i-HIV ngesondo lasezimpundu kumalunga ne-18
lamatyeli ngaphezulu nakunesondo kwilungu lobufazi (i-vagina).
NAZI IZINTO EZIMBALWA EZINOKUNcIPHISA UBUNgOZI BAKHO:
1. Sebenzisa ikhondom kunye nesithambiso esisekwe emanzini (i-lube)
ngalo lonke ixesha xa usenza isondo lasezimpundu. Ukuba ungaphantsi
(uyamkela) umlingane, soloko ugxininisa ukuba ongaphezulu (ofakayo)
umlingane ayinxibe ikhondom kunye nesithambiso esisekwe emanzini.
2 Yenza isondo namadoda ambalwa. Ukwenza isondo namadoda
ambalwa kunciphisa amathuba akho okufumana okanye okusasaza
i-HIV kunye nezinye iintsholongwane ezigqithiselwa ngesondo (ii-STI).
3. Yeka ukwenza isondo ukuba wena (okanye umlingane wakho) ninazo
naziphi na iimpawu ze-STI, njengenxeba, idyunguza, amaqhakuva
okanye intsumpa ekwincanca okanye ezimpundu okanye kukho
inkupho (into ephumayo) encanceni okanye kwiimpundu zakho.
Yiya ekliniki okanye kugqirha ufumane unyango phambi kokuba ube
nesondo kwakhona.
Ubungozi bokufumana i-HIV buphezulu kakhulu kumlingane osezantsi
(owamkelayo) kunongaphezulu (ofakayo) umlingane. Oku kungenxa
yokuba indoda engaphantsi ithanda ukufumana idlozi (i-cum) ngaphakathi
ezimpundu, yeyona indlela ilula yokufumana i-HIV.
Ukuba upositive kwi-HIV kufuneka ubunciphise ubungozi bokuchaphazela
umlingane onegative. Ukongeza; ukusebenzisa iikhondom kunye
nesithambiso esisekwe emanzini, amadoda athile aphila ne-HIV kwaye
asebenzisa i-sero-sorting ne-sero-positioning.
IINKCUKACHA NGE-SERO-SORTING KUNYE NE-SERO-POSITIONING,
TYELELA H4M.MOBI KWISELFOWUNI YAKHO
IIKHONDOM
Ukuthanda okanye ukucaphukela, ukusebenzisa ikhondom kuhlala kulukhuselo
oluphambili kwi-HIV nakwezinye ii-STI. Iikhondom zilungile ngoba
zithintela ugqithiselo lwencindi yomzimba ngesondo esenokuba ne-HIV:
idlozi (i-cum) negazi. Kwaye amadoda apositive kwi-HIV kufuneka asebenzise
iikhondom ngalo lonke ixesha ukuthintela ukufumana nokusasaza i-HIV
nezinye ii-STI. Iikhondom kunye nesithambiso esisekwe emanzini zihlala
kunye, njenge-fish & chips!!
UKUSEBENZISA IKHONDOM yAMADODA
Imiyalelo ecacisiweyo yendlela yokusebenzisa ikhondom yamadoda, tyelela
h4m.mobi kwiselfowuni yakho. Khumbula oku landelayo;
• Amadoda alalwayo ngamanye adlangokuthi isondo livakala ngcono
ngaphandle kwekhondom. Oku akusiyiyo inyaniso – umphakathi
weempundu awukwazi ukuyiva ikhondom.
• Ungaze usebenzise ikhondom engaphezulu kwesinye ngexesha.
• Ukuba unesondo neqela (ngomlingane ngaphaya komnye ngaxeshanye),
sebenzisa ikhondom entsha rhoqo xa ufaka kumlingane omtsha
ukuthintela usasazeko lwe-HIV kunye nezinye ii-STI.
UKUSEBENZISA IKHONDOM yAMABHINqA KWISONDO
LASEZIMPUNDU
Tyelela kwi website: h4m.mobi ukufumanisa ukuba kutheni na
ukusetyenziswa kwekhondom yamabhinqa kwisondo lasezimpundu
kuvakala ngcono kumadoda amaninzi. Nantsi indlela yokusebenzisa
ikhondom yamabhinqa kwisondo lasezimpundu:
1. Khangela umhla esalungele ukusetyenziswa ngawo futhi uqinisekise
ukuba isithandeli/isingxobo asimoshakalanga, uze ukhuple ikhondom.
Faka isithambise esininzi kumphantsi weempundu nakumphezulu
wencanca. Umphezulu utsalela ikhondom yamabhinqa kwincanca
eqinileyo, ngokungathi itsalela ikawusi elunyaweni ...
2. Umphezulu ufakela ikhondom yamabhinqa kumphantsi weempundu
ngencanca yawo. Isazinge seplastikhi enkulu iya kuhlala ngaphandle
komphantsi weempundu, sikhusela ukuba ingene ngaphakathi.
3. Emva kwesondo, umphantsi kufuneka ujike icondom (ukuthintela
ukuchithakala kwamadlozi), tsala ikhondom iphume, yenza iqhina kuyo
emva koko uyilahle emgqomeni.
13 14
AfRIKAANS ENgLISH
TSWANA
XHOSA

ISITHAMBISO
Isithambiso, okanye i-lube, iyimveliso etshebelezayo efana nejeli eyenzelwe
ukusetyenziswa ngexesha lesondo. Ukusebenzisa isithambiso esilungileyo
kwenza kukhuseleke ukwenza isondo lasezimpundu ngokukhusela Ukuba
ikhondom ikrazuke. Yenza ukuba isondo lasezimpundu lungabi buhlungu,
lonwabeleke lubemyoli.
Isithambiso sibalulekile kwisondo lasezimpundu, kuba iimpundu azivelisi
ncindi yaneleyo ukuze kubekho isondo elingekho buhlungu (ngokungafaniyo
nelungu lobufazi langasese). Isondo elomileyo lungamenzakalisa umaleko
othambileyo weempundu, kwandise umngcipheko wokufumana i-HIV
okanye ezinye izifo ezigqithiseleka ngesondo (ii-STI).
Ngeekhondom zamadoda kufuneka usebenzise isithambiso esisekwe
emanzini kuphela njenge-KY, i-Assegai okanye izingxotyana zesithambiso se-
Health4Men. Ungaze uyisebenzise nayo nayiphi imveliso eneoyile, enjengebaby
oil, eyomzimba okanye eyezandla, ibhotolo okanye imajarini, iVaseline
okanye ioyile yokupheka. I-oyile kuyo nayiphi na imveliso yonakalisa ikhondom
yamadoda, into ekhokelela ekusasazekeni kwe-HIV okanye ezinye ii-STI.
Sebenzisa isithambiso esininzi ekuvulekeni kweempundu phambi kokuba
uqalise ukwenza isondo ngalo lenke ixesha. Ukuba isondo liyaqalisa ukuvakala
lomile okanye lincangathi, okanye luqhubeka ixesha elide, sebenzisa
isithambiso esininzi ukukhusela ikhondom.
Ungathenga isithambiso esisekwe emanzini kuyo nayiphi na ivenkile ethengisa
ngezinto zesondo okanye ekhemesti, okanye ungasebenzisa iyogathi
engenamafutha maninzi okanye indawo emhlophe yeqanda elikrwada (hayi
indawo emthubi). Ukuba unayo ifriji ungazenzela eyakho ijeli: thenga ipakethi
yejeli eyenziwe ngeziqhamo uze uyixube kunye nesithathu samanzi kuphela
abakuxelela uwasebenzise. Iya kuba sele ilungile xa iqinile efrijini. Amathe
akanancindi yaneleyo ukuba angasetyenziswa njengesithambiso.
I-POST-EXPOSUrE
PrOPHyLAXIS (I-PEP)
I-Post-exposure prophylaxis (i-PEP) ingumlinganiselo wothintelo kubantu
bedibene kwanabo abangenayo intsholonga kwintsholongwane, okubenze
baba kumngcipheko ophezulu wokuba nayo HIV. Ukuba ichiza liqalise
ukufakwa zingaphelanga iiyure ezingama-72 emva kokuba sesichengeni
sentsholongwane, kunceda ekunciphiseni amathuba osuleleko lwe-
HIV. Imizekelo yokuba semngciphekweni ophezulu i-quka ukugqabhuka
kwekhondom ngexesha lesondo kunye nomphantsi ekufumaneni amadlozi
(i-cum) kwiimpundu xa usabelananomntu oneHIV. I-PEP kufuneka ithathwe
ngokuchanekileyo kangangeentsuku ezingama-28 kwaye kufuneka
ilandelwe hlolelwa i-HIV okuninzi okuphindiweyo. Thetha nomsebenzi wakho
wezempilo ngoko nangoko ukuba ucinga ukuba udinga i-PEP.
I-PrE-EXPOSUrE
PrOPHyLAXIS (I-PrEP)
Ngelixa i-PEP inikezwa abantu aba negative kwi-HIV emva kokuba
besemngciphekweni wentsholongwane, i-pre-exposure prophylaxis (PrEP)
inikezwa kubantu abanegative ngaphambi kokuba babesemngciphekweni
wentsholongwane ukunciphisa ukuba nayo HIV.
I-PrEP okwangoku ayifumaneki kwiikliniki zoluntu. Ukuba ufuna ulwaz
oluphangalela tyelela ku: h4m.mobi kumakhalékhukhwini wakho.
15 16
AfRIKAANS ENgLISH
TSWANA
XHOSA